| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IGAEB, LLC3 Filed as: IGAEB INC | 6640 CAROTHERS PARKWAY STE 160 FRANKLIN, TN 37067 | PRINCIPAL LIFE INSURANCE COMPANY | $15K | — | $15K | 11.70% |
| THE CASON GROUP INC3 | 1612 MARION ST COLUMBIA, SC 29201 | PRINCIPAL LIFE INSURANCE COMPANY | — | $8K | $8K | 5.78% |
| IGAEB, LLC3 Filed as: IGAEB | 6640 CAROTHERS PARKWAY FRANKLIN, TN 37067 | COLONIAL LIFE & ACCIDENT COMPANY | $4K | — | $4K | 6.11% |
| KEYSTONE INSURANCE & BENEFITS GROUP3 | 13800 JACKSON RD MISHAWAKA, IN 46544 | COLONIAL LIFE & ACCIDENT COMPANY | $2K | — | $2K | 2.52% |
| MICHAEL R ACKERMAN3 | 275 COMMERCE DR. SUITE 301 FORT WASHINGTON, PA 19034 | COLONIAL LIFE & ACCIDENT COMPANY | $856 | — | $856 | 1.19% |
| JEFFREY D BRINDLE3 | 10811 LAKEVIEW DR CARMEL, IN 46033 | COLONIAL LIFE & ACCIDENT COMPANY | $755 | — | $755 | 1.05% |
| DENNIS E TRAYWICK3 | 1325 BLACK ROAD PROSPECT, TN 38477 | COLONIAL LIFE & ACCIDENT COMPANY | $464 | $163 | $627 | 0.87% |
| BARBARA J LAKE3 | 226 N HIGH ST MORRISTOWN, IN 46161 | COLONIAL LIFE & ACCIDENT COMPANY | $419 | — | $419 | 0.58% |
| NORTHWEST ENROLLX LLC3 | 7656 TWP RD. 94 FINDLAY, OH 45840 | COLONIAL LIFE & ACCIDENT COMPANY | $353 | — | $353 | 0.49% |
| GARY A INERSON3 | 4311 LONG LAKE DR N ELLENTON, FL 34222 | COLONIAL LIFE & ACCIDENT COMPANY | $297 | — | $297 | 0.41% |
| DAN YAARY3 | 13303 CREEKVIEW RD PROSPECT, KY 40059 | COLONIAL LIFE & ACCIDENT COMPANY | $212 | $28 | $240 | 0.33% |
| ANGELA MASSARELLI3 Filed as: ANGELA J ZWEERS | 183 BRANDON WOODS DR SPRING HILL, TN 37174 | COLONIAL LIFE & ACCIDENT COMPANY | $132 | $44 | $176 | 0.24% |
| JEFFREY LUXENBERG3 | 307 LONGREE LN LOGANSPORT, IN 46947 | COLONIAL LIFE & ACCIDENT COMPANY | $173 | — | $173 | 0.24% |
| ELIZABETH LOUISE FENDER3 | 335 S EMERSON AVE INDIANAPOLIS, IN 46219 | COLONIAL LIFE & ACCIDENT COMPANY | $109 | — | $109 | 0.15% |
| HOWARD J HOROWITZ3 | 2610 ALCOTT ST CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT COMPANY | $61 | — | $61 | 0.08% |
| JOE GORDON3 | 4329 GLENVIEW DR S INDIANAPOLIS, IN 46250 | COLONIAL LIFE & ACCIDENT COMPANY | $25 | — | $25 | 0.03% |
| LVI BENEFITS SERVICES LLC3 | 2985 SURREY RIDGE RD CLARKSVILLE, TN 37043 | COLONIAL LIFE & ACCIDENT COMPANY | $18 | — | $18 | 0.02% |
| NORTHWEST WORKSITE MARKETING CORP3 | 1910 INDIAN WOOD CIR MAUMEE, OH 43537 | COLONIAL LIFE & ACCIDENT COMPANY | $3 | — | $3 | 0.00% |
| BENEFIT ENROLLMENT SERVICES INC3 | 210 CARDEN AVE NASHVILLE, TN 37205 | COLONIAL LIFE & ACCIDENT COMPANY | $2 | — | $2 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 THIRD PARTY ADMINISTRATOR | Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | P.O. BOX 853921 RICHARDSON, TX 75085 | $68K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 368 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 368 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 565 | $131K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 565 | $131K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 565 | $131K |
| Other | COLONIAL LIFE & ACCIDENT COMPANY | 43 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 565 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.